Organization
GREENFIELD PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON SHERRILL (OWNER)
(252) 830-9100
Entity
Organization
Contact information
Practice address
2575 W FIFTH ST, GREENVILLE, NC 27834-7813
(252) 830-9100
(252) 830-8901
Mailing address
2575 W FIFTH ST, GREENVILLE, NC 27834-7813
(252) 830-9100
(252) 830-8901
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3425377
—
NC
05
—
3426338
—
NC
05
—
7803807
—
NC
Enumeration date
09/20/2005
Last updated
08/22/2020
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